Provider Demographics
NPI:1760822118
Name:SCHREIBER, SARA (MSED/SPED)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MSED/SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 HAROLD ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5049
Mailing Address - Country:US
Mailing Address - Phone:646-515-3561
Mailing Address - Fax:718-761-1016
Practice Address - Street 1:384 HAROLD ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5049
Practice Address - Country:US
Practice Address - Phone:646-515-3561
Practice Address - Fax:718-761-1016
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-30
Last Update Date:2013-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY883873103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst